Individual
ANTHONY VALDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1064 EASTERN AVE NE, GRAND RAPIDS, MI 49503-1148
(616) 635-0164
Mailing address
1064 EASTERN AVE NE, GRAND RAPIDS, MI 49503-1148
(616) 635-0164
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/21/2015
Last updated
02/21/2015
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